ABSTRACT
To manage mass vaccination without impacting medical resources dedicated to care, we proposed a new model of Mass Vaccination Centers (MVC) functioning with minimum attending staffing requirements. The MVC was under the supervision of one medical coordinator, one nurse coordinator, and one operational coordinator. Students provided much of the other clinical support. Healthcare students were involved in medical and pharmaceutical tasks, while non-health students performed administrative and logistical tasks. We conducted a descriptive cross-sectional study to describe data concerning the vaccinated population within the MVC and the number and type of vaccines used. A patient satisfaction questionnaire was collected to determine patient perception of the vaccination experience. From 28 March to 20 October 2021, 501,714 vaccines were administered at the MVC. A mean rate of 2951 ± 1804 doses were injected per day with a staff of 180 ± 95 persons working every day. At peak, 10,095 injections were given in one day. The average time spent in the MVC was 43.2 ± 15 min (time measured between entry and exit of the structure). The average time to be vaccinated was 26 ± 13 min. In total, 4712 patients (1%) responded to the satisfaction survey. The overall satisfaction with the organization of the vaccination was 10 (9-10) out of 10. By using one attending physician and one nurse to supervise a staff of trained students, the MVC of Toulouse optimized staffing to be among the most efficient vaccination centers in Europe.
ABSTRACT
Résumé L’UMPEO est une unité mobile polyvalente financée par les fonds européens, qui a la particularité d’être autonome, projetable et dépliable facilement. Elle a été conçue par le SAMU 31 pour être initialement un poste médical avancé ou poste de commandement opérationnel lors d’évènements aigus comportant de multiples victimes ou lors de dispositifs prudentiels. Dans le contexte de la pandémie COVID-19, l’UMPEO a été utilisée dans la zone transfrontalière comme centre itinérant de dépistage ou de vaccination, ou comme annexe des urgences en renfort d’une structure hospitalière. Les utilisateurs ont apprécié la rapidité et la facilité d’installation, l’ergonomie de travail et la polyvalence de la structure. Le SAMU 31 a développé un outil innovant capable d’être projeter rapidement sur site en fonction de l’urgence sanitaire. Summary L’UMPEO is a structure that has the particularity of being autonomous, projectable and easily unfoldable. It was conceived by the SAMU 31 to be initially an Advanced Medical Post (PMA) or Operational Command Post (OCP) at the time of acute events comprising multiple victims or at the time of prudential backup facilities. In the context of the COVID-19 pandemic, the UMPEO was used in the cross-border area as a mobile screening or vaccination center, or as an emergency department annex to reinforce a hospital structure. Users have appreciated the speed and ease of installation, the ergonomic of work and the versatility of the structure. The SAMU 31 developed an innovative tool able to be quickly projected on site according to the medical emergency.
ABSTRACT
AIM OF THE STUDY: In the context of the worldwide vaccination campaign against COVID-19, France has been deploying multiple sites for mass vaccination. This study aimed to assess the perceived usefulness of a prototype decontamination mobile unit (UMDEO) for COVID-19 vaccination among both the patient and healthcare providers perspectives. METHODS: This was a descriptive cross-sectional study conducted in Toulouse over two days. UMDEO is a fully comprehensive, versatile solution that was deployed as a 5-row vaccination unit. A written questionnaire was distributed from March 6th-7th, 2021 among all patients presenting for vaccination at the mobile center, as well as the team participating in the vaccination campaign. RESULTS: Among the vaccinated patients (n = 1659), 1409 participants (84.9%) filled out the survey, as well as 68 out of 85 (80%) within the UMDEO team. The maximum patient rate was 98 people per hour. The majority of participants and caregivers (1307 [93.2%] and 67 [98.5%] respectively) agreed that the mobile unit increased access to vaccination. A total of 91.3% patients (n = 1281) and 95.6% caregivers (n = 65) believed that it would speed up the overall vaccination campaign. CONCLUSION: The majority of the vaccinated population and of the team participating in the survey were satisfied with the usefulness of UMDEO as a vaccination center. Toulouse is currently the only city to have used such a structure for vaccination, but it could be used as a basis for planning other mobile units to increase vaccination access.